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J Pediatr Intensive Care 2020; 09(01): 027-033
DOI: 10.1055/s-0039-1695733
Original Article
Georg Thieme Verlag KG Stuttgart · New York

High Rate of Medical Emergency Team Activation in Children with Tracheostomy

Autoren

  • Brianna L. McKelvie

    1   Division of Critical Care, Department of Pediatrics, Faculty of Medicine, Western University, Children's Hospital-London Health Sciences Centre, London, Ontario, Canada

  • Anna-Theresa Lobos

    2   Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

  • Jason Chan

    3   Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada

  • Franco Momoli

    3   Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada

  • James Dayre McNally 

    2   Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
    3   Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada

Funding There was no funding secured for this study.
Weitere Informationen

Publikationsverlauf

07. Mai 2019

19. Juli 2019

Publikationsdatum:
02. September 2019 (online)

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Abstract

Pediatric in-patients with tracheostomy (PIT) are at high risk for clinical deterioration. Medical emergency teams (MET) have been developed to identify high-risk patients. This study compared MET activation rates between PITs and the general ward population. This was a retrospective cohort study conducted at a tertiary pediatric hospital. The primary outcome (MET activation) was obtained from a database. Between 2008 and 2014, the MET activation rate was significantly higher in the PIT group than the general ward population (14 vs. 2.9 per 100 admissions, p < 0.001). PITs are at significantly higher risk for MET activation. Strategies should be developed to reduce their risk on the wards.

Keywords

tracheostomy - medical emergency team - rapid response system

Supplementary Material